Analysis of complications of osteosarcoma around knee treated by resection and replacement of tumor-type prosthesis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 825-828, 2007.
Artigo
em Chinês
| WPRIM
| ID: wpr-340908
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the effects and complications of osteosarcoma around knee treated by wide resection and replacement by the tumor-type prosthesis.</p><p><b>METHODS</b>Between July 1997 and July 2004, 117 patients with osteosarcoma around the knee had been treated with wide resection and reconstruction with prosthesis. Alcohol-devitalized tumor bone prosthetic composite were used for reconstruction in 13 patients, and allograft prosthetic composite (APC) were used in 25 patients. All patients accepted 2 cycles of chemotherapy before the surgery.</p><p><b>RESULTS</b>The mean follow-up period was 3.5 years (1 - 8 years). Nine patients had failure of union at the graft-host junction. Fracture of the stem of the prosthesis occurred in 5 patients, late infection was found in 19 patients, and aseptic loosening occurred in 3 patients. Bone fracture occurred in 1 patient and prosthesis sinking occurred in 2 patients.</p><p><b>CONCLUSIONS</b>The tumor-type prosthetic reconstruction offers the best knee function after resection of the tumor around the knee, and recurrence rate can be accepted. However, the tumor-type prosthesis needs further improvement because of the high complication rate.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Neoplasias Ósseas
/
Osteossarcoma
/
Estudos Retrospectivos
/
Seguimentos
/
Resultado do Tratamento
/
Artroplastia do Joelho
/
Articulação do Joelho
/
Métodos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2007
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS